Disability Benefit Questionnaires

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Understanding VA Disability Benefits Questionnaires (DBQs)

Disability Benefits Questionnaires (DBQs) are standardized forms used by the Department of Veterans Affairs (VA) to evaluate the severity of a veteran’s service-connected conditions. These forms, completed by healthcare providers, offer detailed medical information that aids the VA in determining disability ratings and compensation levels.

Utilizing the appropriate DBQ can streamline the claims process, potentially leading to faster decisions. Whether you’re filing an initial claim or seeking an increased rating, submitting a well-completed DBQ can be a crucial component of your application.

Separation Health Assessment

The Following Disability Benefit Questionnaires have been removed from Public Use (regulation changes, and specialized training requirements):

  • Cold Injury Residuals
  • Former POW Protocol
  • General Medical – Compensation
  • General Medical – Pension
  • Gulf War General Medical Examination
  • Medical Opinion
  • Separation Health Assessment – Part B
  • Initial Post Traumatic Stress Disorder (PTSD)
  • Hearing Loss and Tinnitus
  • Initial Evaluation of Residuals of Traumatic Brain Injury
  • Review Evaluation of Residuals of Traumatic Brain Injury

Separation Health Assessment DBQ

Part A

Guidance For Separation Health Assessment DBQ Part A


Cardiovascular

Artery & Vein

Conditions

Heart

Conditions

Hypertension

Condition


Dental & Oral

Oral & Dental

Conditions


Dermatological

Scars

Skin Diseases


Endocrinological

Diabetes Mellitus

Endocrine Diseases

Thyroid & Parathyroid


Ear, Nose, Throat

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Ear

Vestibular & Infections

Loss of Sense of

Smell & or Taste

Sinusitis, Rhinitis, & Other Conditions


Gastrointestinal

Esophageal Disorders

Intestinal Conditions

Peritoneal Adhesions

Gallbladder

Liver Conditions

Rectum & Anus

Hernias

Pancreas

Stomach & Duodenum


Genitourinary

Kidney Conditions

Male Reproductive Organ Conditions

Urinary Tract Conditions


Gynecological

Breast

Gynecological Conditions


Hematologic & Lymphatic

Hematologic & Lymphatic Conditions


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Infectious Disease

HIV Related Illnesses

Infectious Diseases

Tuberculosis

Persian Gulf/ Afghanistan Infectious Diseases


Musculoskeletal

Amputations

Conditions

Bones & Other Skeletal

Conditions

Hand & Finger

Conditions

Muscle Injuries

Shoulder & Or Arm

Ankle

Conditions

Elbow & Forearm

Conditions

Hip & Thigh

Conditions

Neck (Cervical Spine)

Temporomandibular Disorders

Back

Thoracolumbar Spine

Foot Conditions Including Flatfoot

Knee & Lower Leg Conditions

Osteomyelitis

Wrist


Neurological

ALS (Lou Gehrig’s Disease)

Diabetic Peripheral Neuropathy

Multiple Sclerosis

Peripheral Nerves

Central Nervous System & Neuromuscular Diseases

Fibromyalgia

Narcolepsy

Seizure Disorders (Epilepsy)

Cranial Nerve Conditions

Headaches (including Migraines)

Parkinson’s Disease


Nutrition

Nutritional Deficiencies


Ophthalmological

Eye Conditions


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Psychological

Eating Disorders

Mental Disorders

PTSD Review


Respiratory

Respiratory Conditions

Sleep Apnea


Rheumatological

Arthritis

Chronic Fatigue Syndrome

Systemic Lupus Erythematosus & Autoimmune


Spina Bifida

Spina Bifida


Aid & Attendance

VA Form 21-2680


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